Individual
DR. SHENNA R KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 791-8793
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 791-8793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238312
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
Enumeration date
09/15/2005
Last updated
06/10/2026
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